Nardini C, Zanchetta S
Div. di Ortopedia e traumatologia, Ospedali Riuniti di Soave e San Bonifacio (VR), Verona, Italia.
Pediatr Med Chir. 1991 Sep-Oct;13(5):525-34.
A case of non-specific spondylitis in an infant has prompted us to an ample review of the literature. The disease is acknowledged as characteristically benign in children. However some publications seem to imply that in the very young child it would display a remarkable seriousness. From our case and half a score of others that we found in the literature, it appears that in the first year of life the nonspecific spondylitis has the same features as in the older children, namely a mild course and a good prognosis. The above publications probably refer to peculiar cases, which give rise to an as yet unsolved nosological problem. The characteristics of the disease, with special emphasis on its clinical and radiological presentation and evolution, are exposed.
一名婴儿患非特异性脊柱炎的病例促使我们对文献进行了全面回顾。该疾病在儿童中被认为具有典型的良性特征。然而,一些出版物似乎暗示在幼儿中它会表现出明显的严重性。从我们的病例以及我们在文献中找到的其他六个病例来看,在生命的第一年,非特异性脊柱炎具有与大龄儿童相同的特征,即病程轻微且预后良好。上述出版物可能指的是特殊病例,这引发了一个尚未解决的疾病分类学问题。本文阐述了该疾病的特征,特别强调了其临床、放射学表现及演变情况。